Cited by 214Physical Activity and HealthBehavioral Health and InterventionsCardiovascular and exercise physiology

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Integrative Review of Physical Activity Intervention Research with Aging Adults

Conn, Vicki S., Minor, Marian A., Burks, Kathryn J., Rantz, Marilyn J., Pomeroy, Sherry H.·2003·Journal of the American Geriatrics Society

DOI 10.1046/j.1532-5415.2003.51365.x

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Abstract

This paper reviews randomized, controlled trials (RCTs) that have attempted to increase physical activity behavior by aging adults. A systematic review was necessary because numerous studies target older adults, and previous reviews have addressed a limited range of primary studies. Computerized database, ancestry, and extensive search strategies by authors of research reported in English between 1960 and 2000 located diverse intervention trials. RCTs reporting endurance physical activity or exercise behavioral outcomes for at least five subjects were included. Integrative review methods were used to summarize extant research. Forty‐two studies were retrieved. Seventeen RCTs with 6,391 subjects were reviewed. A wide variety of intervention strategies were reported. The most common interventions were self‐monitoring, general health education, goal setting, supervised center‐based exercise, problem solving, feedback, reinforcement, and relapse prevention education. Few studies individually adapted motivational interventions, used mediated intervention delivery, or integrated multiple theoretical frameworks into the intervention. Links between individual intervention components and effectiveness were not clear. Common methodological weaknesses included small samples, untested outcome measures, and time‐limited longitudinal designs. Significant numbers of aging adults increased their physical activity in response to experimental interventions. The amount of increased activity rarely equaled accepted behavior standards to achieve positive health outcomes. Further work is essential to identify successful strategies to increase activity by larger numbers of elders and to accelerate the increase in activity by those who change activity behaviors. Sex and ethnic differences need further investigation. There is a vital need for rigorously designed studies to contribute to this science.

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Authors: Conn, V. S., Minor, M. A., Burks, K. J., Rantz, M. J., & Pomeroy, S. H.
Affiliations: University at Buffalo, State University of New York (US)
ORCID: Conn, Vicki S.
Rantz, Marilyn J.
Pomeroy, Sherry H.
Venue: Journal of the American Geriatrics Society
Publisher: Wiley
Published: 2003-07-31
Volume: 51
Issue: 8
Pages: 1159-1168
ISSN: 0002-8614 (ISSN-L)
1532-5415
DOI: 10.1046/j.1532-5415.2003.51365.x
OpenAlex: W2141530731
Cited by: 214
References: 29
Citations by year: 2026: 4 · 2025: 5 · 2024: 2 · 2023: 2 · 2022: 4 · 2021: 12 · 2020: 6 · 2019: 7 · 2018: 5 · 2017: 8 · 2016: 11 · 2015: 6 · 2014: 12 · 2013: 23 · 2012: 13
FWCI: 1.16
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of the American Geriatrics Society (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (5r29nr004521-05)
National Institute of Nursing Research (NR04521)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
Keywords: physical activity interventions, older adults, exercise behavior, endurance exercise, self-monitoring, goal setting, health education, supervised exercise, feedback and reinforcement, relapse prevention, motivational interventions, intervention effectiveness
MeSH terms: Aged, Aging, Health Promotion, Humans, Physical Fitness, Quality of Life, Exercise, Randomized Controlled Trials as Topic

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Integrative Review of Physical Activity Intervention Research with Aging Adults

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